Provider Demographics
NPI:1982808192
Name:RANKIN, BARBARA JEANETTE
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEANETTE
Last Name:RANKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 S LA BREA AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90056-1863
Mailing Address - Country:US
Mailing Address - Phone:323-298-3050
Mailing Address - Fax:323-298-3083
Practice Address - Street 1:5012 S LA BREA AVE STE 3
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90056-1863
Practice Address - Country:US
Practice Address - Phone:323-298-3050
Practice Address - Fax:323-298-3083
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)